Billing Executive (Healthcare)

Description

As a Billing Executive in Healthcare, you will be an essential part of the financial operations within a medical institution, focusing on efficiently managing billing processes. You will be responsible for overseeing the billing practices by ensuring accurate and timely submission of insurance claims and patient invoices. Your role will include interacting with insurance companies, healthcare providers, and patients to reconcile and verify billing discrepancies while adhering to healthcare regulations and standards. Your keen attention to detail and deep understanding of medical billing codes will support the organization in maintaining operational efficiency and financial accuracy, ultimately delivering exceptional service to our patients and helping them navigate the complexities of healthcare billing.

Responsibilities

• Prepare and submit accurate insurance claims for healthcare services rendered promptly.
• Verify patient insurance coverage and obtain pre-authorizations when required.
• Review and process claims and invoices in compliance with healthcare regulations.
• Maintain patient billing records, ensuring all data is complete and accurate.
• Investigate and resolve discrepancies related to billing and payments.
• Communicate with insurance companies to facilitate claim resolution and payment.
• Advise patients regarding billing inquiries and payment options available to them.
• Collaborate with healthcare providers to rectify coding errors that impact billing.
• Monitor unpaid claims, submitting necessary follow-up documents and appeals.
• Ensure compliance with healthcare privacy laws such as HIPAA regulations.
• Collaborate with financial departments to improve billing processes and systems.
• Generate detailed reports on billing activities and collection performance monthly.

Requirements

• Bachelor’s degree or equivalent experience in healthcare administration is preferred.
• At least two years of experience in medical billing or similar roles.
• Proficient understanding of medical billing codes such as ICD-10 and CPT.
• Strong knowledge of insurance claim procedures and healthcare compliance.
• Excellent organizational skills to manage billing records and documentation.
• Exceptional communication skills for interactions with patients and insurers.
• Capable of multitasking effectively within a fast-paced healthcare environment.
• Attention to detail to ensure accuracy in billing and coding processes.
• Proficiency in using medical billing software and Microsoft Office Suite.
• Problem-solving capabilities to address and rectify billing discrepancies.

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